Business Recharges Form

BUSINESS RECHARGES FORM

Charging Party Name:    Receiving Party Name:

Reference Number:    Effective Date:

Recitals

WHEREAS, the Charging Party incurs costs and expenses in the ordinary course of business for goods, services, and shared resources that benefit multiple business units and third parties; and

WHEREAS, the Receiving Party will receive a proportionate allocation of such costs in accordance with the allocation methodology set forth in this form and any schedules attached hereto; and

WHEREAS, the Parties desire to document the scope, basis, and approval required for recharges and to establish payment terms, confidentiality obligations, and other contractual provisions governing these recharges.

Scope of Recharges

Allocation Methodology:

Itemized Charges

List each expense to be recharged. Attach supporting invoices and allocation schedules when submitting this form.

Payment Terms

The Receiving Party shall pay the Total Recharge Amount in accordance with the billing schedule below. If not paid when due, the Charging Party may assess late fees and suspend services as set out herein.

Monthly Quarterly One-time / Ad hoc    Other:

Term and Termination

This recharge arrangement commences on and continues until unless earlier terminated in accordance with this section.

Either Party may terminate this recharge arrangement for convenience upon days' prior written notice. Material breach not cured within days after written notice entitles the non-breaching Party to terminate immediately.

Confidentiality

Each Party shall keep confidential all financial, personnel, technical and other proprietary information disclosed in connection with these recharges ("Confidential Information") and shall not use such Confidential Information except to perform obligations under this form. Confidential Information excludes information that (i) is or becomes publicly available other than by breach; (ii) is rightfully received from a third party without restriction; or (iii) is independently developed without reference to Confidential Information.

Upon written request or termination, the receiving Party shall return or destroy Confidential Information and certify in writing that such return or destruction has occurred. Remedies at law may be inadequate for breach of confidentiality; the disclosing Party shall be entitled to injunctive relief in addition to damages.

Governing Law

This form and any disputes arising out of or related to it shall be governed by and construed in accordance with the laws of the State of without regard to choice-of-law principles. The Parties submit to the exclusive jurisdiction of the courts located in that State for resolution of disputes.

Entire Agreement

This Business Recharges Form, together with any schedules or attachments expressly incorporated herein, constitutes the entire agreement between the Parties with respect to the subject matter and supersedes all prior negotiations, representations, and agreements, whether written or oral. Any amendments must be made in writing and signed by authorized representatives of both Parties.

Certifications & Approvals

The undersigned certifies that the expenses described above are accurate, properly documented, and eligible for recharge under internal policy. The Charging Party acknowledges that submission of inaccurate or fraudulent recharges may result in denial of reimbursement and other disciplinary or legal action.

Invoices Allocation schedule Approvals / authorizations    Other:

Warning: Intentional submission of false, misleading or fraudulent information may result in disciplinary and legal action.

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